Matthew P. Durham D.D.S.

NPI 1003960436 - Dentist - 1223G0001X

NPI Details
NPI 1003960436
Gender Male
Enumeration Date 01/23/2007
Last Updated 12/08/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2700 5 MILE RD NE
STE. #201
GRAND RAPIDS MI, 49525-1710, US
Phone (616) 361-1727
Fax (616) 361-1455
Business Location
2700 5 MILE NERD 201
GRAND RAPIDS MI, 49525-6516, US
Phone (616) 361-1727
Fax (616) 361-1455
Taxonomy Code 1223G0001X
License State
License Number
Remove 1003960436 NPI Number

According to our database, Dr. Matthew P. Durham D.D.S. NPI is 1003960436, taxonomy code is 1223G0001X Matthew P. Durham D.D.S. physically located at 2700 5 Mile Rd Ne, Grand Rapids MI, 49525-1710. NPI Number Matthew P. Durham D.D.S. has the Individual type.

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1003960436 NPI number is provided on an as is basis without warranty of any kind. 1003960436 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew P. Durham D.D.S. are for informational purposes only.